Audit Coordinator

Description

The Audit Coordinator reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

The Audit Coordinator will be responsible for coordinating the Audit activities relevant to the Central Business office of Northwestern Medicine West Region. This includes government and non-government ADR's, correspondence reviews, Medicare Bad Debt Cost reporting audits and others.

The Coordinator will receive, research and facilitate appropriate responses to audits within the contracted or payer timeframe. This position will gather information related to Medicare bad debts and ensure Medicare Bad Debt Cost Reporting is completed timely. In addition, the Coordinator will review medical records for both Governmental and non-Governmental audits and assists with post-discharge analysis and chart correction as needed.

Responsibilities:

• Values, Patient Satisfaction and Service Excellence:
  • Demonstrates I-CARE values (Integrity, Compassion, Accountability, Respect and Excellence) in daily work and interactions.
  • Presents a friendly, approachable, professional demeanor and appearance.
  • Provides accurate information and timely updates to patients and customers.
  • Addresses questions and concerns promptly, or identifies appropriate person and resources to do so.
  • Provides directions or help to patients and customers with finding their way. Uses effective service recovery skills to solve problems or service breakdowns when they occur.
  • Demonstrates teamwork by helping co-workers within and across departments.
  • Communicates effectively with others, respects diverse opinions and styles, acknowledges the assistance and contributions of others.
• Efficiency and Business Growth:
  • Uses organizational and unit/department resources efficiently.
  • Manages work schedule efficiently, completing tasks and assignments on time.
  • Contributes to opportunities and processes for continuous improvement.
  • Participates in efforts to reduce costs, streamline work processes, improve and grow services we provide.
• Non-Clinical Role-Specific Roles & Responsibilities:
  • Conducts audits of charges as compared to clinical/medical record documentation.
  • Assists with responding to patients' inquiries concerning the accuracy of billed charges and charge descriptions.
  • Assists with resolving third-party payor inquiries and billing disputes.
  • Provides summary reports and analysis to hospital staff and management as requested and required.
• AA/EOE.

Qualifications

Required:

• 5 years of experience in Patient Financial Services.
• High school diploma or equivalent.
• Specialized training in medical terminology and coding.
• Strong background in both Governmental and Non-Governmental billing as well as claims follow-up and insurance denials.
• Knowledge of Medicare's Cost reporting analysis.

Preferred:

• 5 -7 years of previous Patient Financial Services experience.

Equal Opportunity

Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.

Background Check

Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check.  Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.

Artificial Intelligence Disclosure

Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. 

Benefits

We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.

Sign-on Bonus Eligibility (if sign-on bonus offered for position): Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.